Primary fixation of mini slings: a comparative biomechanical study in vivo

Abstract

ARTICLE INFO _______________________________________________________________ _____________________

Mini Sling (Ophira) versus Pubovaginal Sling for Treatment of Stress Urinary Incontinence: A Medium-term Follow-up

“…New generation of single incision mid-urethral slings were introduced from last decade with the intent to cure stress urinary incontinence in an outpatient with short operation time, less pain and less bleeding (Palma et al, 2010(Palma et al, , 2012(Palma et al, , 2013Pushkar et al, 2010;Enzelsberger et al, 2011;Smith et al, 2011). Several clinical studies are ongoing to investigate the safety and efficacy of these new minimally invasive procedures compared to the gold standard surgeries, the Burch colposuspension and the pubovaginal slings with established high cure rates in the treatment of SUI.…”

“…Several clinical studies are ongoing to investigate the safety and efficacy of these new minimally invasive procedures compared to the gold standard surgeries, the Burch colposuspension and the pubovaginal slings with established high cure rates in the treatment of SUI. Despite high success rates with rectus facia pubovaginal sling even in complicated cases of SUI, there are some complications reported with this approach, such as wound infections, de novo urge incontinence and obstructive symptoms (Shumaker et al, 1994;Bump et al, 1996;Abrams et al, 2002;Athanasopoulos et al, 2011;Enzelsberger et al, 2011;Palma et al, 2012;Sivaslioglu et al, 2012). Ophira mini sling is among the new innovative systems, proposed to overcome these drawbacks, omit graft harvest and reduce excessive tension on bladder neck (Cody et al, 2003).…”

“…Our study showed an objective cure rate of 84.2% and 88.6% in the sling and Ophira groups respectively. Palma et al (2012) proposed that the high load tolerated by Ophira mini sling is related to its multipoint fishbone-like polypropylene fixation device.…”

“…The degree of pelvic floor weakness was scored according to the pelvic organ prolapse quantification system (POP-Q) (Palma et al, 2010(Palma et al, , 2012(Palma et al, , 2013.…”

Correlation between clinical and magnetic resonance imaging (MRI) findings in temporomandibular disorders

“…A study that compared primary fixation of five different mini slings and one polyproylene mesh showed that the Ophira TM mini sling system presented the best fixation in Wister rats (Palma et al, 2012). However, it is important that we must critically evaluate these technologies in daily practice.…”